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O3‐02‐03: Perception of well being predicts incident harm in cognitively impaired seniors who live alone: A prospective study
Author(s) -
Tierney Mary,
Naglie Gary,
Moineddin Rahim,
Charles Jocelyn,
Lee Jacques,
Jaglal Susan,
Thiruchselvam Thulasi
Publication year - 2011
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2011.05.2395
Subject(s) - medicine , emergency department , geriatric depression scale , prospective cohort study , depression (economics) , dementia , quality of life (healthcare) , neglect , harm , psychiatry , gerontology , disease , psychology , cognition , depressive symptoms , social psychology , nursing , economics , macroeconomics
screening and ENT exam, and without handicap-adapted communication hinting toward cognitive decline. After an ENTexam, extraction of ceruminal obstructions, an audiogram, the patients were re-tested using a handicapadapted communication.329 (32%) of the patients had a relevant hearing impairment and a possible dementia with a positive screening, but showed an improvement in the testing results Of the remaining 572 patients another 79 patients (14%) had a relevant hearing impairment but a normal cognitive screening. The remaining 493 patients were tested negative for auditory impairment and remained positive for a cognitive decline in the second screening. Conclusions: Undetected hearing impairment and the absence of handicap-adapted communication is significantly influencing the accuracy of the dementia testing, resulting in a significant percentage of false positive results. Therefore should a pre-test auditive testing become an imperative procedure in cognitive testing.